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APPLICATION CONTROL SHEET <br /> To be completed by.Devalopmehl Service staff <br /> reApp Only: ❑Yes '�No Fee: Receipt Number: Dale: <br /> P <br /> FFilo Number: '�,A- O)ZFee'- of <br /> �j 1220. Receipt Number: C,7 Dole:7. 3), <br /> %L <br /> File Number: Fee: Receipt Number: Date: <br /> File Number: Fee: Receipt Number: Dela: <br /> Description of Project A •5 A Rc�lAL_ A L-i cA c,� KEo C=-,4 Aa-j <br /> E Xr ST-,.41„ Sea J,c� ST•kT o.-j Po_.I rJ r.-<S-A c-t- <br /> - <br /> 5Y <br /> Project Location: ,Aj EAS 5,5pr; or- <br /> 4450' <br /> .Sor nloaTH OF 1c10005o.,( n n IJ0 tz—t-vk or <br /> Address: 7—4'3 Z 3 r.I. STA r'O✓ cI c 1A-1. <br /> "6'--- 11A O GA, 2 Zo APN(s): 00,5- 14r- I Z,13,1,0; <br /> General Plan Community: Go L-O 1,5E Y-J i iL-� General Plan Designation: 01611 QA SE1ZJ,c.@ <br /> Zoning Map: G -(y Property Zoning: -S Overlay Zone(s): <br /> Adjacent General Plan Zoning <br /> North: NIC-H IJA <br /> South: <br /> East: 47 <br /> West: tcUP-A.L- j<E51r3c�S rA� X12 I00 <br /> zo.•t a <br /> 10G-Year Flood ❑ Yes 1� No G Williamson Act ❑ Yes 'PC No Supervlsorlol District: G1- <br /> Airport Area: L-O C)1 Specific Plon(s) ❑ Yes )<No: <br /> History \/(yjZ 0f43P?7 -1,5%, rY-74B UP4e -3 Kao.5.!# <br /> CN.ECKLISt <br /> //All Applications <br /> Completed Application Forms Ff Owners'Signature ❑ <br /> Copy of Deed or Preliminary Title Report• .U� Copies of Plan or Map ' <br /> 8'/,'x 11'Reduced Plan or Map Hazardous Materials Disclosure Survey <br /> Development Impact Mitigation Fee Form ❑ Assessor and History Pugas <br /> Names List• Sewer/Water'Will Serve'Letter• ❑ <br /> General Plan Map• ❑ Zoning Map• ❑ <br /> Soils Report• ❑ Soils Suitability Study• ❑ <br /> • These materials may not be required for certain applications. Check the application type for details. I <br /> Tentative Maps <br /> Map Signed by Owner ❑ Traci Number and Name(Major Subs only) ❑ <br /> Sepia ❑ All Lots Numbered ❑ <br /> Contour Lines ❑ Location of Well and Septic System ❑ <br /> Agricultural Homesile Form ❑ Adjoining Properly Owners Nam, on Map ❑ <br /> Excavations <br /> Reclamation Plan and Schedule ❑ Financial Guarantee 0 \ <br /> Typical Croas-secllons O Elevation Calculation Schedule ❑ <br /> Engineer's Stamp p <br /> Completed By: P-FT-*%C,A Dnle: -7 9 <br /> appcntr.rm 3-18-91 <br /> i <br />